Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1952688582 |
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| LBN Legal business name | DAVID R. BARWELL, M.A., C.C.C.-A, LTD. | ||||
| Authorized official | DAVID BARWELL - (OWNER/OPERATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/10/2011 | ||||
| Last updated | 05/29/2015 - About 11 years ago | ||||
| Identifiers |
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